Recent progress in the genetics of generalized vitiligo  

作　　者：Richard A.Spritz 

机构地区：[1]Human Medical Genetics Program University of Colorado School of Medicine,Aurora,CO 80045,USA [2]Department of Pediatrics,University of Colorado School of Medicine,Aurora,CO 80045,USA

出　　处：《Journal of Genetics and Genomics》2011年第7期271-278,共8页遗传学报（英文版）

基　　金：supported in part by the grants R01 AR45585 and R01 AR056292 from the National Institutes of Health,USA

摘　　要：Vitiligo is an acquired disease characterized principally by patchy depigmentation of skin and overlying hair. Generalized vitiligo （GV）, the predominant form of the disorder, results from autoimmune loss of melanocytes from affected regions. GV is a ＂complex trait＂, inherited in a non-Mendelian polygenic, multifactorial manner. GV is epidemiologically associated with other autoimmune diseases, both in GV patients and in their close relatives, suggesting that shared genes underlie susceptibility to this group of diseases. Early candidate gene association studies yielded a few successes, such as PTPN22, but most such reports now appear to be false-positives. Subsequent genomewide linkage studies identified NLRP1 and XBP1, apparent true GV susceptibility genes involved in immune regulation, and recent genome-wide association studies （GWAS） of GV in Caucasian and Chinese populations have yielded a large number of additional validated GV susceptibility genes. Together, these genes highlight biological systems and pathways that reach from the immune cells to the melanocyte, and provide insights into both disease pathogenesis and potential new targets for both treatment and even prevention of GV and other autoimmune diseases in genetically susceptible individuals.Vitiligo is an acquired disease characterized principally by patchy depigmentation of skin and overlying hair. Generalized vitiligo （GV）, the predominant form of the disorder, results from autoimmune loss of melanocytes from affected regions. GV is a ＂complex trait＂, inherited in a non-Mendelian polygenic, multifactorial manner. GV is epidemiologically associated with other autoimmune diseases, both in GV patients and in their close relatives, suggesting that shared genes underlie susceptibility to this group of diseases. Early candidate gene association studies yielded a few successes, such as PTPN22, but most such reports now appear to be false-positives. Subsequent genomewide linkage studies identified NLRP1 and XBP1, apparent true GV susceptibility genes involved in immune regulation, and recent genome-wide association studies （GWAS） of GV in Caucasian and Chinese populations have yielded a large number of additional validated GV susceptibility genes. Together, these genes highlight biological systems and pathways that reach from the immune cells to the melanocyte, and provide insights into both disease pathogenesis and potential new targets for both treatment and even prevention of GV and other autoimmune diseases in genetically susceptible individuals.

关 键 词：VITILIGO Autoimmune disease GENE ASSOCIATION LINKAGE 

分 类 号：R758.41[医药卫生—皮肤病学与性病学]